Colin West Profile picture
Mar 29 16 tweets 7 min read Twitter logo Read on Twitter
1/ Welcome to Edition 142 of West’s Well-Being Wednesday! Today, a review of threads and content from March 2022. #wellbeingwednesday #wellbeing #burnout #medtwitter #meded
2/ From March 2, a thread on our 2020 burnout update toward the end of the first year of the pandemic.
5/ From March 9, a thread on the costs of burnout in healthcare, especially relating to primary care physician turnover.
6/ Maybe this seems trivial against total healthcare costs (a reviewer actually said that 🤷), but this seems like real money to me.
10/ From March 23, a replay of a thread on nurse burnout. Medicine is a team sport, and we’re all in this together.
11/ This tweet is supported by the recent publication on fairly early pandemic data, from @LisaRotenstein @ChristineSinsky et al. (link in next tweet).
13/ From March 30, a replay of a thread on burnout and racial bias.
14/ Physicians experiencing burnout have a harder time being their best selves.
15/ Recovery from burnout can improve other parameters as well, though – a hopeful result!
16/ That’ll do it for March 2022’s retrospective. I’ll be back next week with more well-being content. /fin

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More from @ColinWestMDPhD

Oct 19, 2022
1/ Welcome to Edition 119 of West’s Well-Being Wednesday! Today: a review of threads and content from October 2021. #wellbeingwednesday #wellbeing #burnout #medtwitter #meded
2/ From October 6, a brief thread on speakers at the #ACPH21 meeting, including @PresCoreyDLBHF @Surgeon_General @vivek_murthy @JillianHortonMD. Quite prescient for current impact, no?
3/ Look for more excellent speakers on the vanguard of physician #wellbeing at #ACPH23 in Palm Desert, California October 11-13, 2023. Bookmark this link and add to your calendars because this meeting fills up fast once registration opens!
physician-wellbeing-conference.org
Read 8 tweets
Oct 11, 2022
1/ More on the colonoscopy trial: for those interpreting this as evidence that colonoscopy screening doesn’t work, read the protocol:
thieme-connect.com/products/ejour…
2/ If you think this was a sound screening recruitment strategy, well, you have a different understanding of public health, primary care, and shared decision-making in medical practice than I do. Read on …
3/ From the protocol:
“Each individual in the screening group receives an invitation letter with the appointment date and time for a colonoscopy at the corresponding participating center.”
Read 11 tweets
Oct 11, 2022
1/ The colonoscopy trial reported in @NEJM is being widely reported as suggesting that colonoscopy is not effective for colon cancer screening. This is not the correct interpretation of these results. #EBM #evidencebasedmedicine #epitwitter
nejm.org/doi/full/10.10…
2/ This study’s results do not demonstrate that colonoscopy is effective, but also do not demonstrate that it is ineffective. Why? Because only 42% of those in the screening arm actually had a colonoscopy!
3/ What *does* this study show? Only that a screening program involving an invitation to get a one-time colonoscopy modestly reduced colon cancer cases but did not reduce colon cancer deaths or overall mortality at a median of 10 years of follow-up.
Read 15 tweets
Apr 7, 2022
1/ Welcome to another edition of West’s Well-Being Wednesday! Today as #SGIM22 begins: a 🧵 on language, respect in medicine, and how this relates to #burnout and #wellbeing. #wellbeingwednesday #medtwitter #meded (reposting due to upload errors yesterday, my apologies)
2/ Last week I tweeted about this paper @MayoProceedings:
Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias mayoclinicproceedings.org/article/S0025-…
3/ Role identification is an issue especially affecting women and URiM physicians, and can be an important reflection of workplace bias. Clear badging can help!
Read 25 tweets
Jul 7, 2021
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new 🧵 each week. #wellbeingwednesday #burnout #medtwitter #meded
2/ To start Year 2, I’ll link to the threads from July 2020.
First, from July 15, a thread on #burnout history back to Freudenberger.
Read 9 tweets
Dec 30, 2020
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new entry each week. #wellbeingwednesday #burnout #MedTwitter
2/ This week we’ll touch on the association of racial bias and burnout, prompted by @FutureDocs thread last week reflecting on #DrSusanMoore and so many other victims of systematic disparities and racism.
3/ As a biostatistician, I think it’s interesting that in statistics “bias” is defined as a systematic error or deviation from the truth. This is worth reflecting upon as we debate whether racism and other biases are inherent in our systems – by definition, bias is systematic!
Read 20 tweets

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